Hip Fracture Management Flashcards
what is the aim of hip fracture management
to return patient to pre-fracture level of function
what is usually involved in hip fracture management
operation followed by early mobilisation to avoid complication of recumbency
what 3 questions are asked when deciding which surgical procedure to use for hip fractures
intra or extracapsular?, displaced or undisplaced?, high or low functioning patient?
what procedure is used to treat low functioning intracapsular hip fractures
hemiarthroplasty
what procedure is used to treat an undisplaced intracapsular fracture in a high functioning patient
repair with CHS screw
what procedure is used to treat a displaced intracapsular fracture in a high functioning patient
total hip replacement
what procedure is used to treat an intertrochanteric extracapsular fracture
repair with DHS screw
what procedure is used to treat a subtrochanteric extracapsular fracture
repair with IM nail
what are some complications of intracapsular hip fractures
non-union in 20% cases, AVN in 6-20%
what are some complications of extracapsular hip fractures
malunion, non-union
what are the complications of any type of hip fracture procedure
loss of function, infection, DVT/PE/MI, dislocation, periprosthetic fracture
what procedure is used for revision of previous repairs with screws
hemiarthroplasty
describe what is involved in a neurovascular status assessment in fracture patients
examine sensation and motor of each main peripheral nerve, test peripheral nerves not dermatomes
what nerves are assessed in neurovascular assessment of upper limb fractures
mainly radial, ulnar and median
what nerves are assessed in neurovascular assessment of lower limb fractures
superficial peroneal nerve, deep peroneal nerve, tibial nerve + branches on sole of foot
